HeartPlace’s Post

Dr. Celina Yong remembers that when she first began considering the field of interventional cardiology, radiation was the last thing on her mind. It wouldn’t be until she began her fellowship—more than ten years after she had completed her undergraduate degree—that the amount of radiation exposure she would encounter over decades in the cath lab would truly dawn on her. But even at this point, the specter of radiation was necessarily a hazy one for Dr. Yong. In order to treat her patients in accordance with best practices, Dr. Yong needed to constantly refer to large data sets compiled over the course of long trials. To do anything else would conflict with the ethos of modern medicine. However, when Dr. Yong went looking for data to more fully understand the risks she would face from radiation in the cath lab, there was a clear deficiency. She found that much of what we know about the threat of radiation is guided by observations and extrapolations made in the wake of people experiencing supernormal exposure, such as in the bombing of Hiroshima—events that are necessarily poor analogs for the risks posed by persistent low-dose exposure. Therefore, in addition to needing to worry about radiation exposure generally, Yong would need to cope with her inability to arm herself with statistics that might more rationally guide her life choices. The beginning of Dr. Yong’s fellowship in her mid-30s also coincided with the period when she had to begin giving serious thought to starting a family as a woman in the cath lab. And if the medical literature tells us little about individuals’ risks from low-dose radiation exposure, it tells us even less about the risks posed to unborn babies. So Dr. Yong and others like her were forced to face down exceedingly difficult decisions. Should they worry about unproven, potentially rare risks which they nevertheless know exist at some level of probability? Should they jeopardize their career advancement on the basis of such unease? These dilemmas, which Dr. Yong saw so many other women in the field facing, ultimately caused her to fear that women were being dissuaded from entering the field on the basis of fears surrounding radiation exposure. She would later conduct a survey of about 600 fellows that would show this to be largely true. Women, especially those of child-bearing age, are exposed to unique radiation risks that cause a significant number of prospective female interventionalists to choose different specialties. This clip is from Episode 3 of Scattered Denial, which is now streaming on the film's website and YouTube, along with the rest of the film. Our Website: www.scattereddenial.com Scattered Denial on YouTube: https://lnkd.in/gYHGR693

Hands-on Cardiac Morphology Course. 18, 19, 20 March 2024. Join us at Royal Brompton and Harefield Hospitals London for our in-person course. https://lnkd.in/d3mAYzg Organised by Prof S Yen Ho, this three-day course takes registrants from the basics of normal hearts and simple congenital malformations, through to the more complex defects and the conduction system, with live video demonstrations. This unique course is recommended for all professionals who manage and treat patients with congenital heart disease. It allows participants to appreciate the arrangement of the malformations in 3D. Our highly experienced team of tutors includes surgeons, pediatric cardiologists and pathologists who will provide guidance tailored to the needs of the participant. CPD applied for. To allow for an optimal tutor attendee ratio at the practical sessions, we limit the number of participants for the full course. Register early to avoid disappointment. This is the original hands-on cardiac morphology course in London and has been running successfully now for 27 years. The course programme is endorsed by: •the British Cardiovascular (this links to the Cardiology Curriculum: 3.1 Advanced Adolescent and Adult Congenital Heart Disease, 3.5 Interventional Cardiology, 3.10 Advanced Transthoracic Echocardiography). •Morphology of congenital heart malformations. Incorporating the foundation course under the auspices of the British Paediatric Cardiac Association. For more details about the programme, download the full programme here.  Dates: 18, 19, 20 March 2024 Venue: Guy Scadding Building, Cale Street, London, UK Cost & How to register: Visit the event booking page to book your place. If you encounter any problems with booking, please contact morphology@rbht.nhs.uk Course organiser: Professor S Yen Ho Proposed topics •Normal anatomy •Segmental analysis of congenital heart disease •Interatrial communications and atrial septal defects •Ventricular septal defects •Isometric arrangement of the atrial appendages •Anomalous venous connections •Coronary arterial anomalies •Tetralogy of fallout with pulmonary stenosis •Tetralogy of fallout with pulmonary atresia •Compete transposition of the great arteries •Double outlet right ventricle •Common arterial trunk and aorto-pulmonary window •Hypoplastic right heart •Hypoplastic left heart •Aortic arch malformations •Univentricular atrioventricular connections •Discordant atrioventricular connections •Ebstein malformation of tricuspid valve.  Contact:  Morphology@rbht.nhs.uk

Meet our World Class Consultant Dr Tim Lockie - Consultant Interventional Cardiologist Royal Free London Private Patients Unit Investing in the NHS Best clinical outcomes and patient experience for all our patients World Class Consultants for World Class Care #royalfreeprivatepatients #cardiology #angioplasty #stent #arrhythmia #pacemaker #myocardialinfarction #hypertension #investingintheNHS #worldclassconsultantsforworldclass

Ojas Hospital, Panchkula. A Unit of Alchemist Hospitals Introduces Structural Heart Program with Highly Skilled Team of Doctors In a significant stride towards enhancing cardiac care, Ojas Advanced Cardiac Centre at Ojas Hospital, Panchkula(A Unit of Alchemist Hospitals Ltd.) has unveiled its ground-breaking Structural Heart Program. This pioneering initiative marks a pivotal moment in the field of cardiology, promising advanced treatment options for patients with complex heart conditions. The Structural Heart Program at Ojas is designed to address a spectrum of cardiac disorders distinct from blockages in coronary arteries, ranging from congenital defects to acquired structural abnormalities. Leveraging cutting-edge technology and a multidisciplinary approach, the program aims to provide tailored solutions for each patient, ensuring optimal outcomes and improved quality of life. With the advancement in this field today valve replacements can be done without cutting open chest or putting patient under general anesthesia or bypass pump. It is a testimony to technological advancement that patients can look forward to a safe procedure in the cath lab and walk out of the hospital in 2-3 days after valve replacement. Today solutions are available in the form of TAVI for Aortic valve replacement, Mitra clip for a leaky mitral valve and Tric valve for right heart problems. One of the key highlights of the program is its comprehensive range of minimally invasive procedures. These innovative techniques enable physicians to repair or replace damaged heart valves, correct structural defects, and restore normal cardiac function with minimal disruption to the patient's body. By avoiding traditional open-heart surgery, patients benefit from shorter hospital stays, faster recovery times, and reduced risk of complications. Furthermore, Ojas Advanced Cardiac Centre boasts a team of highly skilled cardiologists include Dr. Anurag Sharma, Chairman of the Department of Cardiology, Dr. Rajat Datta, Director of the Department of Cardiology, and Dr. Munish Dev, Consultant Cardiologist. Alongside other specialists, they collaborate closely to deliver personalized care, ensuring that patients receive the most appropriate and effective treatment plan tailored to their unique medical needs. Dr. Rajat Datta Director Department of Cardiology said that TAVI is the commonest among these procedures and is aimed at replacing a narrowed aortic valve without open-heart surgery. It's designed to be inserted through a catheter, making the procedure less invasive. This helps treat aortic stenosis, a condition where the heart's aortic valve doesn't open properly. It's a common problem among elderly and easily missed. #cardiology #tavr #hearthealth #heartdisease

🌟 Innovations in Cardiac MR for Pediatric Cardiovascular Disease Diagnosis 🌟 The landscape of pediatric cardiology and radiology is witnessing groundbreaking advancements with the advent of innovative Cardiac Magnetic Resonance (CMR) imaging techniques. These state-of-the-art innovations are not only enhancing the precision of diagnoses but also ensuring safer and more efficient management of cardiovascular diseases in children. 🔍 Key Benefits of Cardiac MR Innovations: • Enhanced Imaging Precision: Advanced CMR techniques offer high-resolution images, enabling detailed visualization of complex pediatric heart structures. • Non-invasive and Safe: CMR is a non-invasive method that reduces the need for radiation exposure, making it a safer option for young patients. • Comprehensive Assessment: Provides a holistic view of cardiac anatomy, function, and tissue characterization, aiding in accurate diagnosis and treatment planning. • Early Detection: Facilitates early detection of congenital heart defects and other cardiovascular abnormalities, crucial for timely intervention. 📚 Notable Scientific Contributions (2021-2023): 1. “Pediatric Cardiac MRI: Current State and Future Directions” by Dr. Sarah H. Anderson et al., published in the Journal of Cardiovascular Magnetic Resonance in March 2022. This review discusses the current applications and future potential of CMR in pediatric cardiology. 2. “Innovative CMR Techniques for Congenital Heart Disease in Children” by Dr. Michael J. Thompson, Dr. Emily R. Carter, and colleagues, published in Pediatric Radiology in August 2023. This comprehensive study highlights novel CMR methods tailored for pediatric patients. 3. “The Role of Advanced Cardiac Imaging in Pediatric Heart Failure” by Dr. Laura A. Peterson et al., published in the American Journal of Cardiology in November 2021. This article explores the impact of cutting-edge imaging techniques on diagnosing and managing pediatric heart failure. These advancements underscore the pivotal role of CMR in transforming pediatric cardiovascular care, providing cardiologists and radiologists with powerful tools to improve patient outcomes. Embracing these innovations will undoubtedly lead to better diagnostic accuracy and optimized treatment strategies for our youngest patients. GE HealthCare Corsmed Circle Cardiovascular Imaging #CardiacMR #PediatricCardiology #Radiology #MedicalInnovation #Healthcare #CardiovascularDisease #MedicalImaging #PediatricCare #CardiacHealth #FutureOfMedicine Feel free to share your thoughts and experiences with Cardiac MR innovations in pediatric care! 💬

Catawba Valley Medical Center is now offering a unique new device to treat intermittent atrial fibrillation (AFib), known as an irregularly fast heart rate. On April 25th, CVMC and Catawba Valley Cardiology performed the first procedure with the FARAPULSE™ Pulsed Field Ablation (PFA) System. Approved by the FDA in January, the innovative technology is described as a catheter device that uses electric fields during an ablation procedure to treat specific tissue areas around the heart that cause potentially life-threatening arrhythmia. CVMC is the first in the region to use such technology. CVMC cardiology leadership explains this type of ablation procedure does not rely on previously used extreme temperatures and treats only specifically targeted areas of heart tissue. Called “groundbreaking,” the procedure more specifically targets the tissue creating the irregularity and leaves healthy tissue intact and healthy. “Atrial fibrillation is the most common arrhythmia treated by cardiologist,” said cardiologist Patrick Whalen, MD, who performed the first procedure at CVMC. “Treatment for atrial fibrillation includes blood thinners for stroke prevention, and medications to control the heart rate and rhythm. Increasingly, catheter ablation has been used and this therapy has evolved significantly over the last 15 years.” He added that it has become safer, faster, and better tolerated largely due to technology and physician experience. “We have been involved in clinical research with pulse field ablation over the last three years and are excited to offer it to patients outside of clinical studies,” he said. “Without heating the tissue or cooling the tissue, it is significantly safer and more efficient than previous modalities. It has rapidly become the treatment of choice for our patients with atrial fibrillation. Safer, faster treatment means that we can offer this therapy earlier in the disease and to a wider array of patients.” “We are truly excited to bring this new cutting-edge technology to our region,” said Chuck Scronce, CVMC assistant vice president for clinical support. “For Catawba to be able to provide what will become the new standard of care for treatment of arrhythmias is huge for our community. Going in for any type of cardiac procedure brings all kinds of anxiety and fear. Driving to Charlotte, Winston-Salem, or Asheville – the next closest locations only to offer this procedure – just compounds that stress on patients and families. Receiving a safer, more efficient treatment option for AFib while staying close to home is a direct reflection of our mission statement: Exceptional Healthcare. Every Person. Every Time.”

Cardiology Fellows: New Study Highlights Higher Radiation Exposure During Training. Protect Yourself with RADPAD®. A recent study published in the Journal of Radiation Research compared radiation exposure levels between cardiology fellows and staff interventional cardiologists. The findings underscore the critical need for increased focus on radiation safety education and practices during fellowship training. Cardiology fellows are exposed to significantly higher radiation levels than experienced staff cardiologists performing similar procedures.Constant radiation exposure can lead to health risks over time. Equipping fellows with strong radiation safety knowledge and habits early in their careers is crucial for long-term protection. According to the study, RADPAD® radiation protection shields experienced a notable 63% reduction in radiation exposure. Backed by over 40 clinical studies, it is a proven solution for minimizing radiation risk. These lightweight, disposable shields create a "shade zone" around the operator, absorbing scatter radiation and significantly reducing exposure. Protect yourself and your future. Advocate for stronger radiation safety training during fellowship and consider using RADPAD® shields for enhanced protection. #RADPAD #RadiationProtection #Cardiology #MedEd #HealthcareSafety #CardiologyFellows https://lnkd.in/gGcZZkRp

Cardiac Rhythms & Pacemakers: An Overview 💓 Cardiac Diagnosis 💉: Significance: Evaluating cardiac function. Illustration 📊: Employing an ECG to discern aberrations in rhythm. Parameters to Monitor ⏺️: Normal Sinus Rhythm (NSR): 60-100 BPM. Anomalous Indicators: Irregular intervals, absence of P waves. Prognosis in Cardiology 📈: Significance: Anticipating cardiovascular trajectories. Clinical Scenario 🔄: Foreseeing heightened heart rates based on historical data. Threshold of Concern ⚖️: Tachycardia Benchmark: Exceeding 100 BPM. Therapeutic Intervention with Pacemakers ⚙️: Significance: Orchestrating cardiac synchronization. Clinical Application 🎵: Deploying a pacemaker to harmonize atrial and ventricular contractions. Vital Metric to Follow 🎚️: Dual-Chamber Pacing: Coordinated atrioventricular dance. Patient Care Pathways 🛤️: Significance: Structured oversight for cardiac health. Clinical Emphasis 🚀: Regular evaluations ensuring pacemaker functionality. Monitoring Indices 📡: Device Integrity: Vigilance on leads, battery status, and rhythm coordination. Distinct Cardiac Rhythm Problems : 1. Atrial Fibrillation (AF) 🌀: Definition: Chaotic atrial contractions. Clinical Insight 🎉: Recognition via ECG depicting erratic intervals. Diagnostic Metrics 🕰️: AF Identification: Irregular R-R intervals, lacking discernible P waves. 2. Atrial Flutter 🦋: Definition: Ordered atrial contractions. Clinical Insight 🩰: Characterized by a graceful "sawtooth" ECG pattern. Diagnostic Metrics 📈: Balletic Waves: Symmetrical atrial contractions. 3. Bradycardia ⏸️: Definition: Sluggish heart rate. Clinical Insight 🍃: Confirmed with a resting rate below 60 BPM. Diagnostic Criteria ⏱️: Bradycardia Threshold: Resting rate below 60 BPM. 4. Tachycardia ⏩: Definition: Accelerated heart rate. Clinical Insight 🏃♂️: Documented during exercise stress tests. Diagnostic Criteria 🏁: Tachycardia Benchmark: Exceeding 100 BPM. Electrophysiology of the Heart 🎶: Significance: Investigation into cardiac electrical dynamics. Key Elements 🎭: Sinus Node 🕰️: Initiates rhythmic impulses. AV Node 📡: Regulates interatrial and interventricular signals. His-Purkinje System 🚥: Facilitates impulse transmission to ventricles. Clinical Metrics 📊: Normal Sinus Rhythm (NSR): 60-100 BPM. Prolonged PR Interval: Indicative of potential AV block. Medical Codes & Documentation 📑: ICD-10 Coding 🕵️♀️: Atrial Fibrillation (AF): I48. Atrial Flutter: I49.0. Bradycardia: R00.1. Tachycardia: R00.0. Adverse Events: Navigating issues😟: Significance: Acknowledging complications. Common Challenges 🤷♂️: Site Infections. Device Dysfunction. Lead Displacement. Summary 🎇: We learnt Heart rhythm problem and the role of pacemakers, emphasizing diagnostic methodologies, treatment modalities, and vigilance in patient care pathways. Understanding these offers clinicians comprehensive insights for astute cardiovascular management. 💉🩺💓

1/1. Title: “Optimizing Cardiac Recovery: The Role of Confluence in Skilled Team Dynamics and Patient Care” 3. Impact of Confidence and Care on Patient Recovery: Patient confidence is a critical determinant of recovery in cardiac care. The Cath Lab team’s ability to convey assurance and professionalism directly impacts patient trust and cooperation. Harris exemplifies this through her empathetic communication and skillful execution of her duties. Her interactions with patients and her role in procedural coordination foster an environment where patients feel secure and supported, which is vital for optimal recovery. 4. The Role of Expertise in Optimizing Cardiac Recovery: Harris’s expertise highlights the importance of specialized skills in improving cardiac care outcomes. Her proficiency not only enhances the procedural aspects of care but also contributes to the overall patient experience. By integrating advanced knowledge of cardiac mechanisms with a compassionate approach, Harris sets a benchmark for excellence in the field. Conclusion: The performance of cardiac care teams, exemplified by professionals like Harris, demonstrates the profound impact of skilled interventions and effective communication on patient recovery. The confluence of linear and collinear actions within the Cath Lab is essential for achieving optimal outcomes. This article underscores the importance of expertise, teamwork, and patient confidence in the realm of cardiac care, offering insights into enhancing practices for better heart recovery. References: 1. Smith, J., & Patel, R. (2021). Team Dynamics in Cardiac Care: Enhancing Outcomes through Coordination and Expertise. Journal of Cardiac Care, 45(3), 123-135. 2. Johnson, L., & Davis, M. (2020). Patient Confidence and Recovery: The Role of Communication in Cardiac Procedures. Clinical Cardiology Review, 58(2), 87-98. 3. Harris, A., & Walker, K. (2022). Advanced Techniques in Cardiac Diagnostics and Interventions. International Journal of Cardiology, 62(4), 456-467. This article highlights the significance of confluence in cardiac care, showcasing how skilled professionals like Harris contribute to patient recovery through meticulous care and coordination. Courtesy to Peter Barr ,Sergej, Cardiologist Auckland City Hospital NewZealand and team on room 1 in Cath Labs,Auckland City Hospital Newzealand Courtesy to Harris the Technician Courtesy to Priya Waller Media and Communications Experts UK 🇬🇧

Very interesting results from the ESC HF III registry dealing about GDMT during acute heart failure episode in Europe European Society of Cardiology GICC SFC Groupe USIC Collège des Cardiologues en Formation - CCF https://lnkd.in/eucD7Y77